I naute hi a hun hmain a piang em? Naupai hmaa apnea (apnea) chungchang zir rawh

I naupang tê chu he khawvelah hian a lo kal hma deuh em ni? Chutiang hunah chuan nu emaw pa emaw anga hlauhna tlem tal inhriat hi thil pangngai tak a ni. I naute thawk dan tur i ngaihtuah mai thei, a bik takin. Chuvangin, vawiin a thawk harsatna kan sawi tur chu ‘Apnea of ​​Prematurity’ a ni a, chu chu naute piang hun hmaa piang, chu chu naupai kar 37 hmaa piangte zingah a thleng thei a ni. Lungngai suh, hei hi a tlangpuiin hun eng emaw chen atan a ni a, doctor-te pawhin hemi kawngah hian tanpui dan an hre chiang hle.

Apnea of ​​Prematurity tih hi eng nge ni?

A awlsam zawngin sawi ila, naute piang hmasa taksa peng hrang hrang, a bik takin thawk chhuahna tura puitu system te hi a la thang kim lo hle. Ngaihtuah teh, an lung te te, an thluaka thawkna hmun, heng zawng zawng hi ‘zir’ a la ni. Chuvangin, rhythm mumal taka thawk turin an la inpeih lo. Chumi avang chuan a chang chuan second tlemte chhung chu an thawk a tawp thin. Hei hi doctor-te’n ‘apneic spells’ an tih chu a ni.

He thu i hriat hian i hlauthawng mai thei, "Aw, ka naute hi a thaw tha lo em ni?" Mahse he natna hi naute piang hmasa zingah a awm fo thin. Tin, doctor-te pawhin enkawl dan an hre chiang hle bawk. I naute chu Neonatal Intensive Care Unit (NICU)-ah hun engemaw chen a awm ang. Chutah chuan doctor leh nurse-te chuan naute dinhmun hi an enfiah reng ang a, an thawk chhuah theih nan enkawlna an pe ang. I naute chu a mah chauha thawk pangngaia a thawh theih hunah, engmah tanpuina awm lovin, an haw thei tawh ang.

Hetiang natna lan chhuah dan hi engte nge ni?

Tunah chuan Apnea of ​​Prematurity vei naute hian eng symptom nge a lantir theih tih hi han en ila:

• Thâwk hi second 15 emaw 20 emaw chhung a tawp tawh a, chu aia rei pawh a ni mai thei.
• Lung chakna a ti hniam. Hei hi ‘bradycardia’ kan ti a.
• Thisenah oxygen level a tlahniam. Hei hi hypoxemia an ti a. Hei hian naute vun, a bik takin hmui leh lei chu a sen, a var, sen-gray emaw, a sen emaw a tilang thei a ni. Hei hi cyanosis an ti a.

A châng chuan naute thawk chu second 15 aia rei lovah a reh thei. Mahse, heart rate slow (bradycardia) emaw oxygen level hniam (hypoxemia) emaw a awm chuan hei pawh hi he ‘apnea’ condition symptom anga ngaih a ni bawk.

Pawimawh: Hei hi ‘periodic breathing’ an tih dinhmun nen a danglam tur a ni. Periodic breathing chu naute hian an thawknaah chawlh rei vak lo (second 10 aia rei lo) an neih hian a ni. Mahse, hei hian heart rate leh oxygen level a ti tlahniam lo. Chumi hnuah chuan an thawk chak zawk. Hei hi thil pangngai anga ngaih a ni.

Engvangin nge kan naute chungah hetiang hian a thlen? (Apnea of ​​Prematurity awm chhan) 1.1.

Chutianga a awm chhan ber (Apnea of ​​Prematurity) chu a hmaa kan sawi tawh ang khan naute thawkna kawng leh thluak thawkna hmun hi a la thang kim lo vang a ni. Heng peng pahnihte hian naute thaw tha thei turin an thawk dun a ni. Doctor-te chuan heng thawk chawlhnate hi a chhan a zirin chi thum-ah an ṭhen a:

• Obstructive Apnea tih hi a ni
• Central Apnea a ni
• Mixed Apnea (Apnea) a awm

Obstructive Apnea tih hi eng nge ni?

Hetianga thil thleng chu naute thawkna kawngkhar (obstruction) a awm a ni. Heng thawkna kawngte hian oxygen tamna boruak chu lung chhunga phur lut a, lung atanga carbon dioxide paih chhuaktu an ni. Chuvangin, boruak a luang tha tur chuan heng boruak kawng hi a inhawng a ngai a ni.

Mahse, nausen piang hmaa thawkna kawng (a bik takin a kawr atanga tlan chhuak) chu a chak tawk lo thei a, a inhawng reng thei bawk. Chutah chuan thawk a reh thei. Tube te tak te, a inhawng tha lo a, a tlakbuak ang mai a ni.

Central Apnea tih hi eng nge ni?

Hei hi naute thluaka thawkna control tu centre, brainstem-in a hun takah signal a thawn loh chuan a thleng thin. A tlangpuiin he thluak zung hian naute thawkna thau – entirnan, diaphragm leh intercostal thau te hnenah signal a thawn thin. Heng taksa pengte hian boruak chu lung chhunga luh leh chhuah tir turin a pui thin.

Mahse, naute thluak zung chu a la lo thang kim lo a nih chuan a atanga signal lo chhuak chu a mumal lo va, a rintlak lo hle. Chuvang chuan a laiah thawk a tawp thei a ni. Thluak atanga thupek "thâwk la!" a hun takah a paltlang lo.

Mixed Apnea tih hi eng nge ni?

Hetianga thil thleng chu naute thawk danah harsatna a awm a, thluak thawkna control center atanga signal lo lutte chu a kal tlang tha lo a ni. A chunga kan sawi chhan pahnih hi a inzawm khawm niin a lang. Hetiang apnea hi naute piang hmaa piang zingah hmuh tur a tam ber.

Doctor-te hian engtin nge hei hi an hriat?

He natna (Apnea of ​​Prematurity) hi naute awmna Neonatal Intensive Care Unit (NICU)-ah hmuhchhuah a ni. Hei hi damdawi in chhunga naute enkawlna bik leh damdawi lam mamawh te dahna hmun a ni. I naute hi a hun hmaa piang a nih chuan a haw hmain NICU-ah rei tak a awm a ngai mai thei.

Naute NICU-a a awm lai hian doctor leh nurse-te chuan heng thilte hi an enfiah reng a ni:

• Lungphun na tak
• Thâwk lak dan tur
• Thisenah oxygen level a awm

Heng monitor te hian naute heart rate a hniam emaw, thawk a chawlh rei emaw chuan signal an thawn thin. Doctor-te chuan heng machine atanga data an hmuh leh nurse-te enfiahna hmangin natna hi an hre thei a ni.

A châng chuan, nau piang tharte thawk chhuah lohte hi damdawi lam thil dang chhinchhiahna a ni thei bawk. Entirnan, metabolic disorder, thluaka thisen chhuak, leh infection te. Chuvangin, doctor-te chuan naute chu an enfiah hmasa a, heng ang damdawi lam harsatna dang a awm em tih an enfiah hmasa thin. A chhan dang zawng zawng an paih chhuah hnuah chauh hian hei hi Apnea of ​​Prematurity a ni tih chiang takin an hre thei ang.

Apnea of ​​Prematurity tih hi naute chu a hun hmaa piang a nih avangin thawk a tawp a, an nervous leh respiratory system pawh a la thang kim lo tihna a ni. Chuvangin, an taksain heng thilte hi a mah chauha a tih theih hma chuan thawk turin tanpuina tlem an mamawh a ni.

Hei hi eng enkawl dan nge ni ang?

Apnea of ​​Prematurity enkawlna hi a tlangpuiin a hnuaia mi pakhat emaw, a pahnih emaw hi a ni:

• Damdawi (a tam zawkah chuan caffeine citrate) .
• Thâwk chhuah ṭanpui

Engvangin nge he thilah hian caffeine hi an dah tel?

Caffeine citrate hi Apnea of ​​Prematurity enkawlna atana hman thin a ni a, a damdawi hman thin a ni. Zing lama coffee kan in hian kan jolt ang bawkin he damdawi hian naute nervous system a tichak a ni. He ‘harh-na’ hian naute thluak thawkna hmun leh nerve cell-te chu thawk dan tur tidanglamtu signal a thawn chhuak thei a ni.

He caffeine pill hian naute hian apneic spell a neih zat a ti tlem a ni. Tin, thawk laknaah heng chawlh hahdam hun chhung hi a ti tlem thei bawk.

Thâwkna Support

A chang chuan naute thawkna kawng chunglam, pharynx leh larynx te hian a inhawng reng theih nan tanpuina tlem a mamawh thin. Hetiang a nih chuan doctor-te chuan Continuous Positive Airway Pressure (CPAP) tih dan an hmang fo thin. Hemiah hian naute chu a mah chauhin a thaw chhuak thin. Mahse, naute hnar kawngkhar chhunga dah tube te tak te pahnih hmangin boruak a thawn chhuak thin. Hei hian thawkna kawngkhar (airway blockage) avanga thawkna lama harsatna (respiratory arrest) awm theihna a ti tlem a ni.

Ngaihtuah teh, balloon te tak te chhunga boruak tlem i vawrh luh chuan a inflate ang maiin a lang a, he CPAP hian boruak kawng chu a inhawng reng thei a ni.

I naute hian thawk lama harsatna nasa tak a neih chhunzawm zel chuan ‘mechanical ventilation’ a mamawh mai thei. Chumi awmzia chu machine (ventilator) chuan naute taksain a mah chauha thawk a thawh theih hma loh chuan naute thaw chu a thawk dawn tihna a ni. Hei hi hun rei lote chhung chauh a ni.

Ka naute hian hetiang dinhmun hi a nei a nih chuan eng nge ka beisei ang?

Apnea of ​​Prematurity hi hun eng emaw chen atana awm thin a ni . Naute a lo seilian leh a lo thanglian zel chuan heng symptoms te hi a tlahniam zauh zauh ang. I naute chu kar engemaw zat NICU-ah a awm a ngai mai thei a, thla hnih atanga thla thum chhung pawh a awm a ngai mai thei. Chutah chuan thawk lama harsatna chauh ni lovin, a hun hmaa a pian avanga harsatna dang lo awm thei zawng zawngte pawh enkawl a ni ang.

Doctor-te chuan naute chu NICU-ah eng chen nge a awm a ngaih dawn tih leh him taka naute in lama hruai haw theihna tura thil thleng tur te an hrilh ang che.

A tlangpuiin doctor ten naute enkawlna tihtawp hun him tur an ruat ang. Tichuan, enkawlna an chawlhsan hnuah naute taksain a chhân lêt dân an en ang. Naute chu in lama an haw hma chuan thawk lama harsatna awm lovin ni engemaw zat an awm a ngai dawn a ni. He "observation period" rei zawng hi naute a pian hma zia leh an hriselna zawng zawngah a innghat ang.

Naute tam zawk hi an haw hnuah pawh enkawl chhunzawm an ngai lo. Mahse, i naute hian enkawl a ngai tak tak a nih chuan i doctor chuan a tih tur dik tak a hrilhfiah ang. I hriat chian loh thil a awm emaw, in lama i naute enkawl chungchangah ngaihtuahna i neih chuan i doctor emaw, nurse emaw zawt ngei ang che. He boruak thar hi i hman thiam theih nan i mamawh zawng zawng an pe ang che.

Apnea of ​​Prematurity hi naute piang hmasa te zingah chuan a awm fo thin. Amaherawhchu, thil awmdan pangngai a ni tih hriain, nausen piang thar chu chelh duh huna hla taka awm chu thil awlsam a ni lo. I naute NICU-a a awm chhung hian i rilru a hah hle ang a, i lungngai hle ang. Mahse, hei hi hun eng emaw chen atan a ni tih hre reng ang che.

NICU-a doctor leh nurse-te chuan he hun chhung hian i naute nena hun hman dan tur zawngin an pui ang che. Tin, i naute thawk dan a lo than chhoh dan leh engtikah nge i naute chu in lama hruai theih i beisei theih tih te pawh an hrilh bawk ang che.

Thupui tawi (Take-Home Message) angin hre reng ang che.

I naute piang hma chuan apnea of ​​prematurity a neih chuan a hlauhawm hle thei. Mahse, khawngaihin hre reng ang che:

• Hei hi hun eng emaw chen atan a ni tlangpui. Naute a lo seilian chhoh zel chuan a thawkna kawng pawh a chak chho zel bawk.
• Hei hi Doctor ten enkawl dan an hre chiang hle. I naute hian NICU-ah enkawlna tha ber a dawng ang.
• Nangmah chauh i ni lo. Doctor leh nurse chauh ni lo, hetiang thil tawn nei nu leh pa dang pawh an awm. I rilru put hmang sawi hreh suh la, tanpuina dil bawk ang che.
• Beiseina vawng reng rawh. Nang pawhin ni engemaw zat hnuah i naute nen in lama haw theihna hun i nei ang.

I naute chu a dam thuai theih nan duhsakna hlanin!

` Nau piang hma, thawk tha lo, naute thawk, NICU, naute hriselna, thawk harsatna, caffeine therapy